Organization · NPI-2

21st Century Holistic Health, LLC

Community/Behavioral Health · Houston, TX

NPI number1326344953
StatusActive
Last updated in NPPESJan 29, 2011

Details

NPI
1326344953
Entity type
Organization (NPI-2)
Legal business name
21st Century Holistic Health, LLC
Organization subpart
No
Enumeration date
Jan 29, 2011
Last updated
Jan 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

5009 N Main St
Houston, TX 77009-3620

Phone 713-402-8970

Mailing address

5009 N Main St
Houston, TX 77009-3620

Phone 713-402-8970

Authorized official

Tracie Lyn Hammelman
Owner
7134028970

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